Michigan Livestock Expo
Swine Identification, DNA Submission and Pen Reservation Form
Exhibitor Information
Exhibitor Name (s): _________________________________ Phone: ____________________
Address:_____________________________________________________________________
City: ____________________________ Zip: __________ County: ______________________
PQA Number:______________________
Your signature below verifies that the animal(s) listed below will be housed in the above listed exhibitors care at the above listed
address and that the exhibitor consents to verification of livestock at that location. Refusal to allow an inspection is reason for
disqualification from competition at the Michigan Livestock Expo. If the animal(s) will not be housed at the above address, please
complete the following animal information:
Animal Information*
Name and relationship of person in whose facilities the animal(s) will be housed:
____________________________________________________________________________
Animal Address:_______________________________________________________________
City: ____________________________ Zip: __________ Phone: _______________________
Reason of alternative animal housing location: _______________________________________
____________________________________________________________________________
*The Michigan Livestock Expo and/or their representative(s) reserve the right to verify the location of any animal tagged to be entered or exhibited at
the Michigan Livestock Expo (MLE). If the listed animal(s) is not at the listed address or if the MLE, the MLE Auction Committee, or the MLE
Livestock Committee deems the housing address/facility not appropriate, the animals(s) will not be eligible for participation/exhibition at the MLE. If, at
any time, the animal(s) housing location changes, the exhibitor is required to notify Brad Mortensen at (616) 723-3954. Failure to notify prior to any
location change, except for livestock exhibitions, is reason for disqualification from competition at the Michigan Livestock Expo.
Ear
Notch*
S
e
x
Color/ Markings
Breed
Ear
Notch
S
e
x
Color/ Markings
Breed
*YOU MUST complete the Ear Notch Diagrams on the following page.
1.
2.
3.
4.
5.
6.
7.
8.
9.
Each pig’s information must be listed above.
A DNA sample of hair (including follicle/root) must be submitted.
Hair sample should be sealed in a plastic Ziploc bag with individual pig information/identification and exhibitors name written on
outside of Ziploc bag in permanent marker
Each pig listed must have a separate DNA sample on file.
Immediate family members (brothers & sisters living at the same address) may enter pigs as a family. Please list all exhibitor
names above on this form.
Exhibitors listed on this form must also include their PQA number.
DNA samples and money should be mailed in an 81/2 x 11 envelope to Michigan Farm Bureau Warehouse 7330 W. Millet Hwy, Lansing MI
48917. IT MUST BE CLEARLY MARKED MLE SWINE. You must include the $15.00 per head DNA Submission fee with the DNA
sample. You must also include the $20.00 per pen fee with this form.
This form and DNA samples must be returned to Michigan Farm Bureau: MLE Swine and postmarked by May 15.
Please refer to the MLE rules for additional requirements and information at www.milivestock.com.
Number Submitted at $15.00: Total $ ______________ Number of pens needed at show at $20.00 per pen ________
Exhibitor Fee: $15.00 per youth _______
TOTAL _________ Check # _______ Checks payable to: Michigan Livestock Expo
My signature verifies that I am the above listed animal(s) representative.
Signature:_____________________________________
Date:_________________
Michigan Livestock Expo
Swine Identification, DNA Submission and Pen Reservation Form
Please color in ear notches on drawing for each pig’s DNA submission.
Ear Notch # Reported__28-7____
Ear Notch # Reported__________
Ear Notch # Reported__________
Ear Notch # Reported__________
Ear Notch # Reported__________
Ear Notch #
Ear Notch # Reported__________
Ear Notch # Reported__________